| Dean H Hattan, OD | |
|
80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 | |
| (505) 552-5300 | |
| (505) 552-5811 |
| Full Name | Dean H Hattan |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 80 B Veterans Blvd, Acoma, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174592877 | NPI | - | NPPES |
| H3450 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 001231 (Washington) | Secondary |
| 152W00000X | Optometrist | 2106 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dean H Hattan, OD Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Dean H Hattan, OD 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Ph: (505) 552-5300 |
Philip E Stein, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Rodney N Gilliland, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |